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Ipsilateral Femoral Neck and Shaft Fractures

Author

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  • Daine O. Clarke

    (Department of Orthopedics, Kingston Public Hospital, Jamaica)

Abstract

Ipsilateral fractures of the femoral neck and shaft are usually the result of high-energy trauma. The incidence ranges from 2.5-6% [1-3]. With improvements in trauma care the incidence will only increase as the mortality amongst multiple trauma patients decreases. The associated neck fracture is initially missed in up to 33% of cases [4,5]. These patients tend to have multisystem injuries as well as other associated orthopaedic injuries [2,6]. There is a 22.6% associated incidence of open fractures, while injuries involving the knee are seen quite commonly in up to 40 % of cases [5,6]. In managing these patients, the orthopaedic surgeon is confronted with a number of issues as it relates to the management of the multiple trauma patient: the timing of surgery and the subtle differences or additional challenges posed when a neck of femur fracture has an associated shaft fracture. A case is presented here to highlight these management dilemmas.

Suggested Citation

  • Daine O. Clarke, 2017. "Ipsilateral Femoral Neck and Shaft Fractures," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 5(3), pages 46-48, March.
    • Handle: RePEc:adp:joroaj:v:5:y:2017:i:3:p:46-48
    DOI: 10.19080/OROAJ.2017.05.555661
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